HCPCS L8604
Injectable bulking agent, dextranomer/hyaluronic acid copolymer implant, urinary tract, 1 ml, includes shipping and necessary supplies
Current code26 hospitals with prices
What Washington hospitals publish for this code
Unknown: The source file doesn't say which population this rate applies to.
| Hospital | Unknown rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | — | $6,504 | $16,259 |
| Deaconess Medical Center | — | $6,504 | $16,259 |
| EvergreenHealth Medical Center | $6,565 | $5,835 | $7,294 |
| Harborview Medical Center | — | $10,879 | $15,541 |
| Kadlec Regional Medical Center | — | $5,598 | $7,997 |
| Mary Bridge Children's Hospital | — | $6,504 | $16,259 |
| MultiCare Auburn Medical Center | — | $6,504 | $16,259 |
| MultiCare Covington Medical Center | — | $6,504 | $16,259 |
| MultiCare Good Samaritan Hospital | — | $6,504 | $16,259 |
| MultiCare Valley Hospital | — | $6,504 | $16,259 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $7,609 | $10,869 |
| Providence Centralia Hospital | — | $12,721 | $24,464 |
| Providence Holy Family Hospital | — | $7,609 | $10,869 |
| Providence Mount Carmel Hospital | — | $7,277 | $10,396 |
| Providence Regional Medical Center Everett | — | $10,358 | $19,920 |
| Providence St Joseph Hospital | — | $7,277 | $10,396 |
| Providence St Mary Medical Center | — | $6,565 | $9,378 |
| Providence St Peter Hospital | — | $12,721 | $24,464 |
| Swedish Edmonds Hospital | — | $7,346 | $15,303 |
| Swedish Issaquah | — | $5,193 – $7,346 | $10,819 – $15,303 |
| Swedish Medical Center | — | $5,193 – $7,346 | $10,819 – $15,303 |
| Swedish Medical Center / Cherry Hill | — | $5,193 – $7,346 | $10,819 – $15,303 |
| Tacoma General Allenmore Hospital | — | $6,504 | $16,259 |
| University of Washington Medical Ctr | — | $9,669 | $13,813 |
| Virginia Mason Medical Center | — | $4,938 | $9,682 |
| Yakima Valley Memorial | — | $3,570 | $8,924 |
Medicare (traditional) reference
CMS publishes no national amount for this code.